Active NPI
Teresa A. Beelen, O.D.
- Optometrist
- Battle Creek, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004861
- Practice address
- 12765 Harper Village Dr Ste 107
Battle Creek, MI 49014-8376 - Phone
- (269) 979-2832
- Fax
- (269) 979-2855
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | O.D.#455D.P.A.143 | PR | |
| Optometrist | 152W00000X | 4901004861 | MI | Primary |
Addresses
Primary practice location
12765 Harper Village Dr Ste 107
Battle Creek, MI 49014-8376
Mailing address
194 Black Cherry LN
Battle Creek, MI 49015-7609
Phone (269) 245-7926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65226-006 | Other | MI | DAVIS VISION |
Other names 1
- Teresa Amelia Beelen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004861 | MI | MD | Optometrist |
| O.D.#455D.P.A.143 | PR | MD | Optometrist |
| 455 | PR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hiemstra Optical Company | Current | Accepting new patients | |
| Mid Michigan Eye Care Center, PC | Optometrist | Current | Accepting new patients |
| Intermed Primary Care | Past | Accepting new patients | |
| America'S Best Contacts & Eyeglasses | Past | Accepting new patients | |
| Lansing Ophthalmology, P.C. | Optometrist | Past | Accepting new patients |
Locations
133 E Michigan Ave
Paw Paw, MI 49079
Phone (269) 657-7288
102 N Main St
Ste B
Plainwell, MI 49080
Phone (269) 685-9511
255 Romence Rd
Portage, MI 49024
Phone (269) 324-0800
6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974
Interoperability endpoints
- tbeelen@sei.intellechartdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optician
- Paw Paw, MI
- NPI 1841371556
-
- Optician
- Battle Creek, MI
- NPI 1043455330
-
- Primary Care Clinic/Center
- Caguas, PR
- NPI 1780632638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1316900160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 BLACK CHERRY LN",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490157609",
"telephone_number": "269-245-7926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12765 HARPER VILLAGE DR STE 107",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490148376",
"telephone_number": "269-979-2832",
"fax_number": "269-979-2855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEELEN",
"first_name": "TERESA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "O.D.#455D.P.A.143",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "65226-006",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERESA",
"last_name": "BEELEN",
"middle_name": "AMELIA",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.